Teens and Adults Learning to Communicate (TALC: NYC)

Mothers with AIDS and their Adolescent Children

At a glance:

Project Name: 

TALC: NYC

 Project Type: 

Living with HIV

Teens and Adults Learning to Communicate

Project TALC was funded by the National Institute of Mental Health (NIMH) and is an intervention designed to improve behavior and mental health outcomes among parents with AIDS and their adolescent children. The study sample was comprised of 307 financially-needy, AIDS-infected parents in New York City and 412 adolescent children. The majority (80%) of the parents were mothers. Approximately one-half of the study participants were Latino and over one-third were African American.

Targeted Risk Group: 

AIDS-infected parents and their children

 Intervention model:

Cognitive behavioral intervention comprised of two modules. The first module was for parents only (8 sessions) and focused on coping with the HIV illness and disclosure. The second module was for parents and their adolescents (16 sessions) and focused on ways to plan a legacy, e.g. making custody arrangements.

 Research Methods: 

In a random assignment study, families assigned to take part in Project TALC were compared with families assigned to a control group on mental health and health behaviors, including sexual behavior and substance use. Because participants were followed over time, longitudinal random effect regression models were used to test the efficacy of the intervention.

 Local Significance: 

Over the two-year follow-up period, adolescents assigned to take part in the intervention reported significantly and substantially lower levels of emotional distress, conduct problems, and family-related stressors and higher levels of self-esteem than did control group adolescents.

 International Significance: 

Project TALC provided a behavioral intervention that can be adapted for other countries and cultures to improve behavior and mental health outcomes among parents with AIDS and their adolescent children.

Published Journal Articles:

  1. Substance Use Among Adolescents of Parents Living With HIV in New York City (9)
  2. Family Wellness, Not HIV Prevention (8)
  3. Evidence Based Family Wellness Interventions, Still Not HIV Prevention: Reply to Collins (10)
  4. The Longitudinal Impact of HIV+ Parents’ Drug Use on Their Adolescent Children (9)
  5. Adjustment of Adolescents of Parents Living with HIV (8)
  6. Psychosocial predictors of somatic symptoms in adolescents of parents with HIV: a six-year longitudinal study (10)
  7. HIV disclosure among adults living with HIV (9)
  8. The Effect of Social Support on Mental and Behavioral Outcomes Among Adolescents With Parents With HIV/AIDS (8)
  9. Impact of Parentification on Long-Term Outcomes Among Children of Parents With HIV/AIDS (8)
  10. The Perception of Family Conflict by Parents Living with HIV/AIDS and their adolescent children (7)
  11. Who Benefited from an Efficacious Intervention for Youth Living with HIV: A Moderator Analysis (8)
  12. Who Benefited from an Efficacious Intervention for Youth Living with HIV: A Moderator Analysis (7)
  13. Depression and Social Support among HIV-affected Adolescents (6)
  14. Carlos: A 12-year-old Boy Discovers His Mother is HIV Positive (9)
  15. Intergenerational Benefits of Family-Based HIV Interventions (9)
  16. Rates and predictors of anxiety and depressive disorders in adolescents of parents with HIV (9)
  17. Adolescent Adjustment over Six Years in HIV-Affected Families (10)
  18. Perceived Partner Serostatus, Attribution of Responsibility for Prevention of HIV Transmission, and Sexual Risk Behavior with “Main” Partner Among Adults Living with HIV (11)
  19. Routine, Rapid HIV Testing Predictors of Serostatus Disclosure to Partners Among Young People Living with HIV in the Pre- and Post-HAART Eras (8)
  20. Families living with HIV (7)
  21. Psychological Distress, Substance Use, and Adjustment among Parents Living with HIV (9)
  22. Predictors of close family relationships over one year among homeless young people (8)
  23. Adolescent Adjustment Before and After HIV-Related Parental Death (11)
  24. Predictors of substance use frequency and reductions in seriousness of use among persons living with HIV (9)
  25. HIV interventions for African Americans and Latinos: lessons learned from participatory action research (9)
  26. Prevention for HIV-Positive Families (9)
  27. Six-Year Intervention Outcomes for Adolescent Children of Parents with the Human Immunodeficiency Virus (10)
  28. Predictors of child custody plans for children whose parents are living with AIDS in New York City (9)
  29. Custody Plans Among Parents Living With Human Immunodeficiency Virus Infection (14)
  30. Four-year behavioral outcomes of an intervention for parents living with HIV and their adolescent children (11)
  31. Successful recruitment and retention of participants in longitudinal behavioral research (9)
  32. Factor Structure of a Coping Scale Across Two Samples (12)
  33. Next Generation of Preventive Interventions (7)
  34. Parents’ disclosure of HIV to their children (9)
  35. Sex-Specific Predictors of Suicidality Among Runaway Youth (9)
  36. The Impact of Coping Strategies, Personal Relationships, and Emotional Distress on Health-Related Outcomes of Parents Living with Hiv or Aids (7)
  37. Picking Up the Pieces: Caregivers of Adolescents Bereaved by Parental AIDS (9)
  38. The Relationship Between Adjustment of Mothers with HIV and their Adolescent Daughters (9)
  39. Impact of parent death and an intervention on the adjustment of adolescents whose parents have HIV/AIDS (8)
  40. Statistical Challenges in Studying Complex and Changing Families (7)
  41. An Intervention for Parents With AIDS and Their Adolescent Children (10)

Please see TALC LA for the up-to-date intervention manuals.

Surveys and Scales Used: 

  1. Needle Use and Sharing (1466)
  2. AHIMSA Acculturation, Habits, and Interests Multicultural Scale for Adolescents (2328)
  3. Medication Adherence (1637)
  4.  Self Harm: Suicide History (1645)
  5. CDC Sexual Behavior Questions (CSBQ) (4356)
  6. Health Belief Model - Self-Efficacy for Sexual Discussion (HBMSD) (1532)
  7.  Self-Efficacy to Refuse Sexual Behavior (RSB) (1544)
  8.  Self-Efficacy for Limiting Substance Use (1354)
  9.  Self-Efficacy for Negotiating Condom Use (1730)
  10. School History (1492)
  11.  Detention/Jail History (1546)
  12.  HIV Disclosure (1624)
  13.  Alcohol and Other Drug Abuse (AOD) (1820)
  14. Dealing with Illness (1570)
  15.  Rosenberg Self-Esteem Scale (RSE) (1743)
  16.  Pregnancy History (1487)
  17.  Parker Parental Bonding Instrument (1550)
  18. Network Assessment (1375)
  19. Life Events (1463)
  20. HIV - Related Incidents (1472)
  21. Healthcare Utilization, Providers, and General Health Assessment: Including STD and Pregnancy (1593)
  22.  HIV Testing (1557)
  23.  Global HIV Competence (1335)
  24. Getting Services (1424)
  25. General Medical History (1484)
  26. Multiple Problem Behavior - DSM Conduct Problems (DSMC) - Conduct Disorder (1650)
  27. Composite International Diagnostic Interview (CIDI) (2403)